Follow-up of coronary artery bypass graft patency by multislice computed tomography

被引:81
作者
Chiurlia, E [1 ]
Menozzi, M [1 ]
Ratti, C [1 ]
Romagnoli, R [1 ]
Modena, MG [1 ]
机构
[1] Univ Modena & Reggio Emilia, Dept Cardiol & Radiol, Policlin Hosp, Modena, Italy
关键词
D O I
10.1016/j.amjcard.2004.12.067
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fifty-two consecutive asymptomatic patients with a total of 166 bypass grafts were investigated by 16-slice computed tomography (CT) 15 +/- 5 days before invasive coronary angiography. Overall, 165 grafts (99.40%) were assessable with multislice CT (MSCT). Coronary angiography showed that 111 grafts (67%) were patent and 54 (33%) were occluded. of the patent grafts, 22 had high-grade stenoses. MSCT correctly classified 1 grafts as patent and 54 as occluded. Of the patent grafts, 16-slice CT correctly detected 21 bypass stenoses (95%). These results yielded 100% sensitivity and specificity of 16-slice CT for detecting bypass grafts occlusion and 96% sensitivity and 100% specificity for detecting high-grade stenoses in patent grafts. (c) 2005 by Excerpta Medica Inc.
引用
收藏
页码:1094 / 1097
页数:4
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